Abstract

Background In this day and age, 17% of children less than 5 years of age died of pneumonia; it is the common cause of children death. It is one of the main children respiratory infectious diseases, i.e., mycoplasma pneumonia (MP). The imaging examination can be adopted to quickly observe the morphology and scope of the pulmonary lesions and know the effect of disease treatment and subsequent changes in the disease in order to provide a basis for treatment. Therefore, the most commonly applied technology for detecting pneumonia in children is imaging technology, including chest X-ray and CT. Objectives The main objective of the work is to investigate the chest computed tomography (CT) findings of children patients with Mycoplasma pneumoniae pneumonia (MPP) and MP combined with streptococcal pneumonia (SP). The mixed infection of MP and SP is very common clinically, and the diagnosis of this type of mixed pneumonia is a critical research topic faced by pediatric respiratory physicians. The comparison is done on the incidence of bronchial and pulmonary interstitial lesions, the degree of lymph node enlargement, the volume and depth of pleural effusion, and the location and morphology of the pulmonary lesions in the chest CT images of children patients from the two groups. Methods There were comparisons on the incidence of bronchial and pulmonary interstitial lesions, the degree of lymph node enlargement, the volume and depth of pleural effusion, and the location and morphology of the pulmonary lesions in the chest CT images of children patients from the two groups. All the experiments are done in the MATLAB. Results The results showed that the proportions of reticular shadow, ground glass shadow, bronchial inflation phase, tube wall thickening, and vascular bundle thickening on the CT images of children patients from the MPP group were dramatically higher than those of the MP + SP group (P < 0.05). The maximum transverse diameter of enlarged lymph node in children patients from the MPP group was obviously larger than the diameter of the MP + SP group (P < 0.05). The number of children patients with pleural effusion was 22 in the MP + SP group, which was greatly higher than the MPP group (P < 0.05). Conclusion In conclusion, the chest CT images of children patients from the MPP group were mainly pulmonary interstitial changes. Furthermore, the alveolar inflammation could be observed on the CT images shown when children patients were combined with SP infection. The more obvious manifestations were that the flaky shadows appeared in the lungs, the pleural effusion became thicker, and the transverse diameters of enlarged lymph nodes were bigger.

Highlights

  • Childhood pneumonia is the main cause of death for children under the age of 5 years, and streptococcal pneumonia (SP) is the most common type of pneumonia from the 20th day of birth to the entire childhood. e mycoplasma pneumonia (MP) infection rate in children that are older than 5 years old is more than 50% [1]. e mixed infection of MP and SP is very common clinically, and the diagnosis of this type of mixed pneumonia is a critical research topic faced by pediatric respiratory physicians

  • This paper aims to clarify the abnormalities pattern with Mycoplasma pneumoniae pneumonia, and M. pneumoniae pneumonia from Streptococcus pneumoniae pneumonia is distinguished through the radiographic findings [14]. e computed tomography (CT) case of different cases is performed by the retrospective review. e bilateral bronchial wall thickening or centrilobular nodules were seen in the patients

  • 3.3. e Pathogenic Sites in the Lungs of the Sick Children. ere was a comparison of the pathogenic sites of children patients from the Mycoplasma pneumoniae pneumonia (MPP) group and MP + SP group (P > 0.05), and the results are presented in Tables 3 and 4 and graphically shown in Figures 5 and 6 for better analysis and visualization

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Summary

Introduction

Childhood pneumonia is the main cause of death for children under the age of 5 years, and SP is the most common type of pneumonia from the 20th day of birth to the entire childhood. e MP infection rate in children that are older than 5 years old is more than 50% [1]. e mixed infection of MP and SP is very common clinically, and the diagnosis of this type of mixed pneumonia is a critical research topic faced by pediatric respiratory physicians. In this day and age, 17% of children less than 5 years of age died of pneumonia; it is the common cause of children death It is one of the main children respiratory infectious diseases, i.e., mycoplasma pneumonia (MP). E comparison is done on the incidence of bronchial and pulmonary interstitial lesions, the degree of lymph node enlargement, the volume and depth of pleural effusion, and the location and morphology of the pulmonary lesions in the chest CT images of children patients from the two groups. Ere were comparisons on the incidence of bronchial and pulmonary interstitial lesions, the degree of lymph node enlargement, the volume and depth of pleural effusion, and the location and morphology of the pulmonary lesions in the chest CT images of children patients from the two groups. The alveolar inflammation could be observed on the CT images shown when children patients were combined with SP infection

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